| NPI | 1225597891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA-ANN SAMUEL Executive Director/ Practitioner 954-361-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-08-12 |